Diabetes Control Among Hispanics in the Action to Control Cardiovascular Risk in Diabetes Trial

Getaneh, Asqual; Light, Laney S.; Brillon, David J.; Escandón, Jorge Calles; Felicetta, James V.; Evans, Gregory W.; Lopez-Jimenez, Carlos; Cuddihy, Robert; Bigger, J. Thomas

doi:10.1007/s11606-012-2131-4

Cited by 8 publications

(7 citation statements)

References 21 publications

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“…As has been pointed out by some analysts [11,28], Hispanics in the United States are a heterogeneous group, and, apart from sharing a common language (Spanish), they are culturally and ethnically diverse [29]. Failure to account for this might mask potentially important sources of variation in disease or mortality risk and lead to the drawing of inferences that might hold for one subgroup but not for others.…”

Section: Past Researchmentioning

confidence: 99%

“…From 1988 to 1994 and 2005 to 2006, diabetes prevalence went from 9.6% to 12.6% in the adult Hispanic US population [8-10, page 336]. Diabetes has been implicated by some studies in the incidence of other serious chronic health conditions, including heart disease and stroke [11], end-stage renal disease [12], diabetic retinopathy and, nontraumatic limb amputations [5]. Direct medical costs to the US economy have been estimated at $116 billion, and indirect costs (due to disability, work loss, and premature deaths) have been put at $58 billion [5].…”

Section: Introductionmentioning

confidence: 99%

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Mortality from Diabetes by Hispanic Groups: Evidence from the US National Longitudinal Mortality Study

Kposowa

2013

International Journal of Population Research

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Diabetes is a leading cause of morbidity and mortality in the United States, especially in minority communities. In mortality research, Hispanics are frequently studied as a homogeneous group. The present study was undertaken to compare diabetes deaths among persons of Hispanic origin by disaggregating groups in order to determine whether the components in the Hispanic label have differential mortality. Data utilized were from the US National Longitudinal Mortality Study. Cox proportional hazards regression models were fitted to the data. Findings showed that individuals in the broader Hispanic label were 28% more likely to die from diabetes mellitus than non-Hispanic whites (ARR = 1.28, CI = 1.05, 1.55). When groups were broken down, it was observed that Mexicans were 50% more likely to die of diabetes than their non-Hispanic white counterparts. No other Hispanic origin group was significantly associated with diabetes mortality risk. Education and family income were strong predictors of mortality, regardless of Hispanic origin grouping. It was concluded from the analysis that future behavioral and social science research would be more informative if the broader Hispanic label was broken down into subcategories. Failure to do so might lead to drawing false inferences as a finding may well hold for one group within the Hispanic label, but not for others.

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Section: Past Researchmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Mortality from Diabetes by Hispanic Groups: Evidence from the US National Longitudinal Mortality Study

Kposowa

2013

International Journal of Population Research

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“…Low health literacy is more common among racial/ethnic minority groups and has been associated with increased hospitalizations and emergency care, poorer ability to demonstrate taking medications properly and interpret medication labels and health messages [14]. It is also associated with poorer diabetes knowledge and worse self-management activities [15, 16]. No study to date has explored whether health literacy, measured with a scale validated in both English and Spanish, may mediate the effect of acculturation on T2D.…”

Section: Introductionmentioning

confidence: 99%

Association of Acculturation and Health Literacy with Prevalent Dysglycemia and Diabetes Control Among Latinos in the Boston Area Community Health (BACH) Survey

López

Grant

Marceau

et al. 2016

J Immigrant Minority Health

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This study assessed the effect of acculturation on type 2 diabetes and whether health literacy may mediate this association. The Boston Area Community Health cohort is a multi-stage stratified random sample of adults from Boston including 744 Latinos. We defined dysglycemia as a HbA1c ≥5.7 %. Multivariable analyses examined the associations between acculturation and health literacy adjusting for demographic and clinical variables. Similar analyses were performed among participants with HbA1c ≥7.0 % to assess the association between acculturation and diabetes control. Among an insured primarily foreign born Spanish speaking Latino population, with a long residence period in the US and good healthcare utilization, higher levels of acculturation were not associated with dysglycemia. Lower levels of acculturation were associated with worse diabetes control. Health literacy level did not modify these associations. Elucidating the components of heterogeneity among Latinos will be essential for understanding the influence of acculturation on diabetes.

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“…6,7 The few studies that have examined the correlation of acculturation with physiological measures of cardiovascular risk factors (CRFs), such as blood pressure, cholesterol, and diabetes in Latinos have produced mixed findings. While some studies have found that higher acculturation worsens CRFs, 8,9 others have reported decreased CRFs with increased acculturation, 1,10 and others no significant associations. 11,12 In addition, Latinos are a highly diverse group.…”

mentioning

confidence: 97%

“…11,12 In addition, Latinos are a highly diverse group. 9,13,14 Some studies suggest that the impact of acculturation on health is strongly modified by Latino subethnicity. 3 However, as few nationally representative surveys provide enough statistical power to assess cardiovascular risk in Latino subgroups, 3 the vast majority of acculturation research in Latinos has focused predominately on Latinos of Mexican ancestry.…”

mentioning

confidence: 99%

Is Greater Acculturation Associated With an Increased Prevalence of Cardiovascular Risk Factors Among Latinos in South Florida?

Chang¹,

Kenya²,

Ilangovan³

et al. 2015

Medical Care

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Diabetes Control Among Hispanics in the Action to Control Cardiovascular Risk in Diabetes Trial

Cited by 8 publications

References 21 publications

Mortality from Diabetes by Hispanic Groups: Evidence from the US National Longitudinal Mortality Study

Mortality from Diabetes by Hispanic Groups: Evidence from the US National Longitudinal Mortality Study

Association of Acculturation and Health Literacy with Prevalent Dysglycemia and Diabetes Control Among Latinos in the Boston Area Community Health (BACH) Survey

Is Greater Acculturation Associated With an Increased Prevalence of Cardiovascular Risk Factors Among Latinos in South Florida?

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